Organization
BEVERLY MAYFIELD
Active
Other names
B & M Loving Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BEVERLY MAYFIELD (PROGRAM MANAGER)
(469) 735-0364
Entity
Organization
Contact information
Practice address
1224 S ROGERS RD APT 1224, IRVING, TX 75060-3765
(469) 735-0364
Mailing address
1224 S ROGERS RD APT 1224, IRVING, TX 75060-3765
(469) 735-0364
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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